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22 Cards in this Set

  • Front
  • Back

statistical probability

relation of risk factor to an adverse event

components of risk screening

lab values, physical, history

risk assessment screening tools

medical and psychosocial data offering best risk assessment in pregnancy

risk assessment positive effects



determines best place for birth


identifies who needs to be referred


identifies opportunities for health promotion



risk assessment negative effects

maintains medical authority


has poor predictive values


causes higher costs and interventions


has psychological and health effects


causes labeling

women's perception of risk

is higher than actual

Discussing risk

start with highlighting safety/good


use absolute risk


educate on nature of risk factor, possible outcomes, and when the danger will pass


keep as much normal as possible


compare the risk to something in everyday life

specificity

number of women with a negative screening test who do not have the condition



sensitivity

number of women with a positive screening test who actually have the condition

positive predictive value

proportion of positives that are really positive

negative predictive value

proportion of negatives that are really negative

Informed compliance

communication about medical risk that are biased to influence woman's decision making


ie. telling a woman what tests will be performed

informed choice

education on all risks and benefits in real terms of all options in a way that lets the woman decide.

illusion of choice

Communicating a choice in a skewed manner without communicating actual risk and in order to fool the woman to choosing what the provider wants

informed consent

known possible diagnosis requiring treatment


nature and purpose of proposed treatment


benefits and risks of proposed treatment


potential complications and side effects


likelihood of treatment success


reasonable alternatives


benefits and risks of alternatives.

principles of midwifery model of care

Continuity of Care


Informed Choice


Shared Decision Making


Choice of birth place

Keys to successful collaboration

Professional team members


Agreement to hold patient at center


Acknowledgement of interdependence


Formal system of communication between providers


Team member effectively communicate



Uses for risk assessment

informs clinical guideline creation


provides patient education


uses resources wisely


creates a culture that pregnancy is not safe

absolute risk

how often something happens

relative risk

compares whole risk between 2 different groups, no details on actual risk just the difference

attributable risk

additional risk you face when in the characteristic group, percent more than other group

maternal mortality rate or ratio

# maternal deaths/ 100,000 live births